Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 0380 | KS |
NPI | 1154300481 |
---|---|
Provider Name | Larry Wendell Hays |
First Address | Newton, KS 67114-0467 |
Second Address | Newton, KS 67114-0467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 08/07/2007 |